Rotator Cuff and Shoulder Conditioning Program. Updated October Factors affecting healing after arthroscopic rotator cuff repair. World J Orthop. Your Privacy Rights.
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We and our partners process data to: Actively scan device characteristics for identification. I Accept Show Purposes. Table of Contents View All. Table of Contents. Day of Surgery. The First Days. Passive Motion. Active Motion. Full Activity. Surgical Options for Rotator Cuff Repair.
Rotator Cuff Strengthening Exercises. Discuss any specific questions you have about your rehab with your surgeon. Was this page helpful? Thanks for your feedback!
Sign Up. It is generally felt that 6 to 8 weeks of dedicated rotator cuff strengthening is necessary before resumption of heavier lifting and normal gym-related activities. It has been shown the majority of re-tears following cuff repair happen in the first 6 months following surgery and recurrent tears that occur more the 1 year after successful healing are unusual.
The rate of progression and ultimate limitations for these patients must be individualized based upon progress in rehabilitation and return of cuff strength. Jay D. Keener, MD, is an associate professor, chief of Shoulder and Elbow Service and fellowship director in the department of orthopedic surgery at Washington University, in St. Disclosure: Keener reports he received a grant from the NIH.
Issue: March By Jay D. Keener, MD. Read next. When the rotator cuff is torn and not functioning properly, shoulder weakness and pain is the result. In this article, the Dr. Robert Rolf at Beacon Orthopaedics discussed common questions asked about the rotator cuff and rotator cuff tears. As you shoulder moves, the rotator cuff keeps the humeral head of the shoulder depressed into the glenoid socket. If the humeral head does not stay within the glenoid socket, it will elevate and hit underneath the acromion, the outside part of the scapula, and result in impingement.
Impingement leads to bursitis inflammation in the bursa and tendinitis inflammation in the tendon. This will ultimately result in partial then full-thickness rotator cuff tears. Clinically, people will start experiencing pain and weakness. Athletes who play sports that require a lot of overhead activity are at a high risk for sustaining a rotator cuff tear. These tears can result from a single traumatic event—such as a sudden fall on your shoulder or a collision with an object or another player—or the tears can develop gradually because of repetitive overhead motions like pitching or throwing a ball.
Many times, rotator cuff tears can be treated with conservative methods such as anti-inflammatory medication, steroid injections, and physical therapy. If the tear is complete, meaning that there are no longer any fibers attached to the bone, it is likely that your rotator cuff will not heal on its own—in these cases surgery is recommended. Conservative treatments and surgical treatments alike are designed to restore strength, functionality, and mobility to the involved shoulder and relieve your shoulder pain.
Use pain medicine when you first notice pain, before it becomes severe. It's easier to prevent pain early than to stop it after it gets bad. If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. If you think your pain medicine is making you sick to your stomach: Take your medicine after meals unless your doctor has told you not to. Ask your doctor for a different pain medicine. If you had arthroscopic surgery, you may remove the bandage over your cut incision 24 to 48 hours after the surgery.
Keep the bandage clean and dry. If you had open surgery, do not remove your bandage until you see your doctor and your doctor okays it. If your incision is open to the air, keep the area clean and dry. If you have strips of tape on the incision, leave the tape on for a week or until it falls off.
Shoulder rehabilitation is a series of exercises you do after your surgery. This helps you get back your shoulder's range of motion and strength. You will work with your doctor and physiotherapist to plan this exercise program. Shoulder rehab may not start until a few weeks after the surgery. To get the best results, you need to do the exercises correctly and as often and for as long as your doctor tells you. To reduce swelling and pain, put ice or a cold pack on your shoulder for 10 to 20 minutes at a time.
Do this every 1 to 2 hours. Put a thin cloth between the ice and your skin. For example, call if: You passed out lost consciousness. You have severe trouble breathing. You have sudden chest pain and shortness of breath, or you cough up blood.
Call your doctor or nurse call line now or seek immediate medical care if: You have numbness, tingling, or a bluish colour in your fingers or hand.
You have severe nausea or vomiting. You have pain that does not go away after you take pain medicine. You have loose stitches, or your incision comes open.
Your incision bleeds through your first bandage or is still bleeding 3 days after your surgery.
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